Individual provider Active NPI

Sean Bancroft McLean, LMHC

  • Mental Health Counselor
  • Saint Cloud, FL
National Provider Identifier
1821827627
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH21807 Issued in FL
Practice address
1320 Louisiana Ave Ste C
Saint Cloud, FL 34769-4116
Phone
(407) 593-0122
NPI assigned
Jul 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH21807 FL Primary

Addresses

Primary practice location

1320 Louisiana Ave Ste C
Saint Cloud, FL 34769-4116

Mailing address

8266 Via Verona
Orlando, FL 32836-7700

Other identifiers 1

IdentifierTypeStateIssuer
MH24283OtherFLMENTAL HEALTH COUNSELOR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411001780 FL Practitioner - Mental Health Counselor 8224552237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fiveshine CorporationGroup PAC ID 2961923198, 7 clinicians

Practice addresses (Care Compare)

3680 Avalon Park E Blvd
301 Ellie Mental Health
Orlando, FL 32828-9372
Phone (407) 928-1425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH21807FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fiveshine Corporation CurrentSince Mar 9, 2025 Accepting new patients

Locations

3680 E Avalon Park Blvd
Ste 301
Orlando, FL 32828
Phone (321) 351-4925

3680 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 513-2729

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1821827627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8266 VIA VERONA",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328367700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LOUISIANA AVE STE C",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694116",
            "telephone_number": "407-593-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "SEAN",
        "middle_name": "BANCROFT",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR LICENSE",
            "identifier": "MH24283",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.